Denise Jackson
NPI 1306330303ActiveIndividual· Prosthetist· Johns Creek, GA
Prosthetist in Johns Creek, Georgia, licensed in GA and IN, with an NPI issued in June 2018.
Overview
| NPI | 1306330303 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 21, 2018 |
| Last updated in NPPES | Jun 27, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prosthetist Primary | 224P00000X | CO124581 | GA |
| Prosthetist | 224P00000X | BC29700281 | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Prosthetist providers in Johns Creek
- 1134087323
- 1336572403
- 1437583689
- 1316858426